十二首、附方二十二
妇人诸病与男子同，惟行经妊娠，则不可以例治，故立经产一门。
四物为君妙义长。（当归、地黄、川芎、白芍。）伤寒表虚地骨桂，（表虚自汗，发热恶
寒，头痛脉浮，四物四两加桂枝、地骨皮各七钱，二药解肌实表，名表虚六合汤。）表实细
辛兼麻黄。（头痛身热，无汗脉紧，四物四两加细辛、麻黄各五钱，二药温经发汗，名表实
六合汤。）少阳柴胡黄芩入，（寒热胁痛，心烦喜呕，口苦脉弦，为少阳证。加柴胡解表，黄
芩清里，名柴胡六合汤。）阳明石膏知母藏。（大热烦渴，脉大而长，为阳明证，加白虎汤清
肺泻胃，名石膏六合汤。）小便不利加芩泻，（加茯苓、泽泻利水，名茯苓六合汤。）不眠黄
芩栀子良。（汗下后不得眠，加黄芩、栀子养阴除烦，名栀子六合汤。）风湿防风与苍术，
（兼风兼湿，肢节烦痛，心热脉浮，加防风搜风、苍术燥湿，名风湿六合汤。）发斑蕴毒升
翘将。（下后不愈，蕴毒发斑如锦纹者，加升麻、连翘散火解毒，名升麻六合汤。）胎动血漏
名胶艾，（伤寒汗下后，胎动漏血，加阿胶、艾叶养血安胎，名胶艾四物汤。）虚痞朴实颇相
当。（胸满痞胀，加浓朴、枳实炒，散满消痞，名朴实六合汤。）脉沉寒厥亦桂附。（身冷拘
急，腹痛脉沉，亦有不得已而加附子、肉桂散寒回阳者，名附子六合汤。）便秘蓄血桃仁黄。
（大便秘，小便赤而脉实数，或膀胱蓄血，亦有加桃仁、大黄润燥通幽者，名大黄六合汤。）
安胎养血先为主，余因各症细参详。后人法此治经水，过多过少别温凉。温六合汤加芩术，
（加黄芩、白术治经水过多，黄芩抑阳，白术补脾，脾能统血。）色黑后期连附商。（加黄连
清热，香附行气，名连附六合汤。）热六合汤栀连益，（加栀子、黄连治血热妄行。）寒六合
汤加附姜。（加炮姜、附子治血海虚寒。）气六合汤加陈朴，（加陈皮、浓朴治气郁经阻。）风
六合汤加艽羌。（加秦艽、羌活治血虚风痉。）此皆经产通用剂，说与时师好审量。
第十二首，附方二十二首。
妇女的各种疾病与男子相同，只是在行经和妊娠期间，不能按照常规方法治疗，因此设立“经产”这一门类。
以四物汤为君药，其精妙义理深远。（当归、熟地黄、川芎、白芍。）若患伤寒表虚证，用桂枝和地骨皮。（表现为表虚自汗，发热恶寒，头痛脉浮，在四物汤四两的基础上，加入桂枝、地骨皮各七钱，这两味药能解肌实表，名为表虚六合汤。）若患伤寒表实证，用细辛兼加麻黄。（表现为头痛身热，无汗脉紧，在四物汤四两的基础上，加入细辛、麻黄各五钱，这两味药能温经发汗，名为表实六合汤。）若属少阳证，加入柴胡和黄芩。（表现为寒热往来、胁痛、心烦喜呕、口苦脉弦，这是少阳证。加入柴胡以解表，黄芩以清里热，名为柴胡六合汤。）若属阳明证，加入石膏和知母。（表现为大热、烦渴、脉大而长，这是阳明证，加入白虎汤以清肺泻胃，名为石膏六合汤。）若小便不利，加入茯苓和泽泻利水，（名为茯苓六合汤。）若失眠，黄芩和栀子疗效好。（表现为发汗或攻下后不得安眠，加入黄芩、栀子以养阴除烦，名为栀子六合汤。）若有风湿，用防风与苍术。（兼夹风邪和湿邪，肢体关节烦痛，心中烦热脉浮，加入防风以搜风，苍术以燥湿，名为风湿六合汤。）若出现发斑且蕴藏毒邪，由升麻和连翘统领。（经过攻下治疗后病未愈，蕴毒发斑如锦纹者，加入升麻、连翘以散火解毒，名为升麻六合汤。）若胎动不安、阴道漏血，名为胶艾汤（即胶艾四物汤）。（伤寒经过发汗或攻下后，出现胎动不安、阴道漏血，加入阿胶、艾叶以养血安胎，名为胶艾四物汤。）若胸脘痞满胀闷，厚朴和枳实颇为恰当。（表现为胸满痞胀，加入炒制的浓朴、枳实，以散满消痞，名为朴实六合汤。）若脉沉、手足厥冷，也可用桂枝和附子。（表现为身冷拘急，腹痛脉沉，也有不得已而加入附子、肉桂以散寒回阳的情况，名为附子六合汤。）若大便秘结且有蓄血，用桃仁和大黄。（表现为大便秘结，小便赤红且脉实数，或是膀胱蓄血，也有加入桃仁、大黄以润燥通幽的情况，名为大黄六合汤。）安胎养血应当作为首要任务，其余情况需根据具体症状仔细参详。后人效法此方治疗月经病，对于经量过多或过少要分别辨别温热或寒凉性质。治经量过多的温六合汤，加入黄芩和白术。（加入黄芩、白术治疗经水过多，黄芩抑制阳气，白术补益脾气，脾能统摄血液。）若经血色黑且后期，可商议使用黄连和香附。（加入黄连清热，香附行气，名为连附六合汤。）治血热的热六合汤，增加栀子、黄连。（加入栀子、黄连治疗血热妄行。）治血海虚寒的寒六合汤，加入炮姜和附子。（加入炮姜、附子治疗血海虚寒。）治气郁经阻的气六合汤，加入陈皮和厚朴。（加入陈皮、厚朴治疗气郁导致的经血阻滞。）治血虚风痉的风六合汤，加入秦艽和羌活。（加入秦艽、羌活治疗血虚引起的风痉。）这些都是治疗经产通用的方剂，希望当时的医生们好好审察衡量。
Twelfth Song, with 22 Supplementary Formulas.
Women's various diseases are the same as men's; however, during menstruation and pregnancy, they cannot be treated according to standard rules. Therefore, a specific category for "Menstrual and Obstetric Conditions" is established.
Using Siwu Tang (Four Substances Decoction) as the sovereign drug, its profound meaning is far-reaching. [Danggui Radix Angelicae Sinensis, Shudihuang Rhizoma Rehmanniae Preparata, Chuanxiong Rhizoma Ligustici Chuanxiong, Baishao Radix Paeoniae Alba.] For Taiyang Exterior Deficiency Syndrome (Syndrome of the Bladder Channel characterized by exterior deficiency) caused by Cold Damage, use Guizhi Twig and Digupi Cortex Lycii. [Manifestations include spontaneous sweating due to exterior deficiency, fever, aversion to cold, headache, and floating pulse. Adding Guizhi Twig and Digupi Cortex Lycii, each 7 qian, to 4 liang of Siwu Tang results in two herbs that release the muscle layer and consolidate the exterior, named Biaoxu Liuhe Tang (Exterior Deficiency Six-Harmony Decoction).] For Taiyang Exterior Excess Syndrome (Syndrome of the Bladder Channel characterized by exterior excess), use Xixin Herba Asari and Mahuang Herb Ephedrae. [Manifestations include headache, body heat, absence of sweat, and tight pulse. Adding Xixin Herba Asari and Mahuang Herb Ephedrae, each 5 qian, to 4 liang of Siwu Tang results in two herbs that warm the channels and induce sweating, named Biaoshi Liuhe Tang (Excess Six-Harmony Decoction).] For Shaoyang Syndrome (Syndrome of the Gallbladder Channel), add Chaihu Bupleuri Radix and Huangqin Scutellariae Radix. [Manifestations include alternating chills and fever, hypochondriac pain, irritability with a desire to vomit, bitter taste in the mouth, and wiry pulse, indicating Shaoyang Syndrome. Adding Chaihu Bupleuri Radix to release the exterior and Huangqin Scutellariae Radix to clear interior heat results in Chaihu Liuhe Tang (Bupleurum Six-Harmony Decoction).] For Yangming Syndrome (Syndrome of the Stomach Channel), add Shigypsum and Zhimu Anemarrhenae Rhizoma. [Manifestations include high fever, severe thirst, and large, long pulse, indicating Yangming Syndrome. Adding Baihu Tang (White Tiger Decoction) to clear Lung heat and purge Stomach fire results in Shigao Liuhe Tang (Gypsum Six-Harmony Decoction).] For difficulty in urination, add Fuling Poria and Zexia Plantaginis Seed to promote diuresis, resulting in Fuling Liuhe Tang (Poria Six-Harmony Decoction). For insomnia, Huangqin Scutellariae Radix and Zhizi Gardeniae Fructus are beneficial. [Following sweating or purging therapies, if sleeplessness occurs, adding Huangqin Scutellariae Radix and Zhizi Gardeniae Fructus nourishes Yin and eliminates irritability, named Zhizi Liuhe Tang (Gardenia Six-Harmony Decoction).] For Wind-Dampness, use Fangfeng Saposhnikoviae Radix and Cangzhu Atractylodis Rhizoma. [Accompanied by wind and dampness, causing painful joints, internal heat, and floating pulse, adding Fangfeng Saposhnikoviae Radix to dispel wind and Cangzhu Atractylodis Rhizoma to dry dampness results in Fengshi Liuhe Tang (Wind-Dampness Six-Harmony Decoction).] For macules appearing due to accumulated toxicity, Shengma Cimicifugae Rhizoma and Lianqiao Forsythiae Fructus take command. [If the condition persists after purging, and toxicity manifests as macules resembling brocade patterns, adding Shengma Cimicifugae Rhizoma and Lianqiao Forsythiae Fructus disperses fire and resolves toxicity, named Shengma Liuhe Tang (Cimicifuga Six-Harmony Decoction).] For fetal restlessness and vaginal bleeding, it is named Jiao'ai Tang (Donkey-hide Gelatin and Moxa Leaf Decoction), specifically Jiao'ai Siwu Tang (Donkey-hide Gelatin and Four Substances Decoction). [After sweating or purging therapies for Cold Damage, if fetal restlessness and bleeding occur, adding Ejiao Donkey-hide Gelatin and Aiyе Folium Artemisiae Argyi to nourish blood and calm the fetus results in Jiao'ai Siwu Tang.] For chest fullness and epigastric distension, Houpo Magnoliae Bark and Zhishi Immature Bitter Orange are quite appropriate. [Manifesting as chest fullness and distension, adding stir-fried Houpo Magnoliae Bark and Zhishi Immature Bitter Orange dissipates fullness and eliminates stagnation, named Pushi Liuhe Tang (Magnolia and Bitter Orange Six-Harmony Decoction).] For deep pulse and cold extremities, Guizhi Twig and Fuzi Aconiti Lateralis Radix Preparata may also be used. [Manifesting as cold body, stiffness, abdominal pain, and deep pulse, in desperate cases, adding Fuzi Aconiti Lateralis Radix Preparata and Rougui Cinnamomi Cortex to dispel cold and restore yang results in Fuzi Liuhe Tang (Aconite Six-Harmony Decoction).] For constipation and blood stasis, Taoren Prunus Seed and Dahuang Rheum Radix et Rhizoma are used. [Manifesting as hard stools, red urine, rapid and full pulse, or bladder blood stasis, adding Taoren Prunus Seed and Dahuang Rheum Radix et Rhizoma moistens dryness and unblocks the bowels, named Dahuang Liuhe Tang (Rhubarb Six-Harmony Decoction).] Calming the fetus and nourishing blood should be the primary focus; other conditions require careful consideration based on specific symptoms. Later generations applied this method to treat menstrual disorders, distinguishing between warming and cooling approaches for excessive or scanty flow. For Wen Liuhe Tang (Warm Six-Harmony Decoction) treating excessive flow, add Huangqin Scutellariae Radix and Baizhu Atractylodis Macrocephalae Rhizoma. [Adding Huangqin Scutellariae Radix to suppress yang and Baizhu Atractylodis Macrocephalae Rhizoma to tonify Spleen qi, as the Spleen controls blood, treats excessive menstruation.] If the blood is dark and the cycle is delayed, consider Lianfu Liuhe Tang (Coptis and Cyperus Six-Harmony Decoction) with Huanglian Coptidis Rhizoma and Xiangfu Cyperi Rhizoma. [Adding Huanglian Coptidis Rhizoma to clear heat and Xiangfu Cyperi Rhizoma to move qi results in Lianfu Liuhe Tang.] For Re Liuhe Tang (Heat Six-Harmony Decoction) treating reckless bleeding due to blood heat, add Zhizi Gardeniae Fructus and Huanglian Coptidis Rhizoma. For Han Liuhe Tang (Cold Six-Harmony Decoction) treating deficiency-cold of the Blood Sea, add Paojiang Prepared Zingiberis Rhizoma and Fuzi Aconiti Lateralis Radix Preparata. For Qi Liuhe Tang (Qi Six-Harmony Decoction) treating qi stagnation obstructing menstruation, add Chenpi Tangerine Peel and Houpo Magnoliae Bark. For Feng Liuhe Tang (Wind Six-Harmony Decoction) treating wind spasms due to blood deficiency, add Qinjiao Gentianae Macrophyllae Radix and Qianghuo Notopterygii Rhizoma et Radix. These are all general formulas for menstrual and obstetric conditions; I hope contemporary physicians will examine and evaluate them carefully.